Doctor Name: | MS. DENISE M WARNACK |
NPI Number: | 1336262187 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LPC |
License Number: | 6401007440 |
Business Practice Address: | 2 Crocker Blvd Suite 101 Mt Clemens, MI - 480432558 |
Business Phone Number: | 5864682266 |
Business Fax Number: | 5864684505 |
Mailing Address: | 24688 Spring Lane, HARRISON TWP |
State: | MI |
Postal Code: | 480452313 |
Phone Number: | 5867921252 |
Fax Number: | 5864684505 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401007440 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |